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� <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � �t�t Z �i-}-�;(u-:c�,v� p�`� <br /> PID: <br /> DESCRIP'TION OF WORK: L f-�-��,�,,�,�� (��; ��.��; <br /> --------------------------------------- -------------------------------------------------------------------------------- <br /> , <br /> ZONING REVIEW BY: � '� - C�(.-�..��—.. DATE APPROVED: :' _> -�i� 7 <br /> BUILDING REVIEW BY: ' � T,�,Y,__._ DATE APPROVED: �' ��'--S 1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes �-- No SEWER CONNECTION <br /> STATE SUR`I�ARGL Yes �,,� No WATERCONNECTION <br /> INVESTIGAZ'ION FEE Yes No PARK FEE <br /> SAC Y�s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: '�-��-�� <br /> Fire Department: �'�� G�`b�i,,t Post Office: — School District: ` <br /> Lot Area: Sq.ft. �, Z S� Acres � �� � Width `��' Depth �; '� <br /> Survey Submitted: Yes No Date of Survey: S:u :+.%r,N`� .�, �� <br /> Proposed Setbacks: � <br /> Front (Lake): _ �I' Right Side: ' � <br /> Rear (Street): Left Side: �-� � <br /> Adjacent Structures: �'�' �✓� Wetland: <br /> Building Height: Def. Hgt. � `�`` Peak Hgt. <br /> Lot Coverage: N� ��– <br /> Grading: Staff Approval Date: /v' � �- By: Council Approval Date: <br /> Septic: Staff Approval Date: �'"`�n' By: <br /> Zoning File: # L� >Z- Resolution: # Resolution Date: � -Z� 7 ��} <br /> Shoreland Dist:ict: y-ZS <br /> Avg. Setback ;, .N.M--c.c Bluff Setback: t`' �� Lot Coverage: 1✓ �C. <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' �{ , <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />